Dirty Dozen Nomination Form

Nominate Now for the 2021 Dirty Dozen Report

NOMINATION DEADLINE September 3, 2021
Fill in the form below or click the red button for a pdf of the nomination form.

You are invited to nominate your waterbody (surface or ground water), place or pollution problem for inclusion in GWC’s “Dirty Dozen 2020” report. Please note that nominations are judged by the following primary criteria:

A major specific decision (that the public can help influence) is pending in the coming year.
The significance of the waterbody, place, or issue to human and natural communities.
The magnitude of the threat to the waterbody and associated communities.
A local group, government, or other organization is already addressing the issue and prepared to handle public relations in support of the nomination.
Issues previously nominated and/or selected for prior Dirty Dozen reports, which have not been resolved, are eligible to be resubmitted. A complete summary of activities/new developments on the issue since last year’s nomination is required to assist in the review process and determining if the issue should be listed again.

Examples:

A proposed project that threatens local streams or aquifers
A municipal or industrial wastewater treatment facility failing to meet permit requirements
A pollution problem which cannot be corrected through existing laws/rules
A pollution problem that local and state authorities are failing to correct
A pollution problem resulting from lack of state and/or federal regulatory oversight

The Georgia Water Coalition Leadership Team will review and select nominations for inclusion in the report by mid-September. If your nomination is chosen, we will work with you to publicize its inclusion on the “Dirty Dozen” report through regional, state and local media. The Dirty Dozen report will be released in November.

Name and location of specific Water Body/Place/Problem*
Counties/Municipalities Involved/Impacted*
Nominating Group
Other Groups Working on Issue
Lead Contact*
Nominating Group Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Nominator Phone Number*
Nominator Website
Nominator Email*
Summary - Highlight the most important information by briefly summarizing the significance of the waterbody or place, the threat, and the decision point(s). (600 characters)*
Water Body, Place or Issue - Explain why the waterbody, place or issue is important. Detail the number of people who use the waterbody for drinking water, recreation, industry, etc. Please note remarkable natural, cultural or historic features as well as any threatened or endangered species impacted. (900 characters)*
The Threat - Articulate the magnitude, seriousness, and imminence of the threat or existing problem and identify the entity or entities responsible. (1800 characters)*
Decision Point - Describe the best protective action that can be taken to eliminate the threat or problem such as major legislation, policy change, permit issuance, regulatory oversight, or similar action, and identify who is/will be opposed to this action. (1200 characters)*
Please upload a map showing the location of the water body or place you are trying to protect and the problem that you want corrected. Indicate on the map an exact location or area where the problem is occurring.
Max. file size: 256 MB.
Please upload three (3) high quality/high resolution photos (1 MB files are larger) of the water body or place you want to protect, including photos of people enjoying or using the area and/or demonstrating why it is special/important.
Drop files here or

Max. file size: 256 MB.
Three (3) high quality/high resolution photos (1 MB files are larger) that demonstrate the problem you want corrected or addressed.
Drop files here or

Max. file size: 256 MB.
Additional materials like video, press clippings and brochures may also be submitted.
Max. file size: 256 MB.